ATSDR Communication Activities Survey (ACAS)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SMS Text Survey	Form and Instruction	New	Available
Agency Stakeholders - SMS Text Survey	Form and Instruction	New	Repair queued
SMS Text Survey	Form and Instruction	New	Available
Community Members - SMS Text Survey	Form and Instruction	New	Repair queued
ATSDR Community Activities Survey - Telephone	Form and Instruction	Removed	Available
Agency Stakeholders - ACAS Telephone	Form and Instruction	Removed	Repair queued
ATSDR Communication Activities Survey	Form and Instruction	Modified	Available
Agency Stakeholders - ACAS Online	Form and Instruction	Modified	Repair queued
ATSDR Communication Activities Survey	Form and Instruction	Modified	Available
Agency Stakeholders - ACAS Hard Copy	Form and Instruction	Modified	Repair queued
ATSDR Public Meeting Survey Sign-In Sheet	Form	Modified	Available
Agency Stakeholders - ACAS Sign-In Sheet	Form	Modified	Repair queued
ATSDR Community Activities Survey - Telephone	Form and Instruction	Removed	Available
Community Members - ACAS Telephone	Form and Instruction	Removed	Repair queued
ATSDR Communication Activities Survey (ACAS)	Form and Instruction	Modified	Available
Community Members - ACAS Online	Form and Instruction	Modified	Repair queued
ATSDR Communication Activities Survey (ACAS hardcopy)	Form and Instruction	Modified	Available
Community Members - ACAS Hard Copy	Form and Instruction	Modified	Repair queued
ATSDR Public Meeting Survey Sign-In Sheet	Form and Instruction	Modified	Available
Community Members - Sign-In Sheet	Form and Instruction	Modified	Repair queued
AttI ACAS Research Determination 20161212.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttG Initial Email for Online ACAS Link 20201130.docx	Supplementary Document	Uploaded 2020-12-10	Available
AttD Communty Mtng Fact Sheet 20201130.docx	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttC ACAS PIA CPO Signed 20200804.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttC 3rd_Party_SSP_ACAS_ISSO_20200610.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttC 3rd_Party_PIA_ACAS 20200610.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttB ACAS 60-day FRN.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttA3 SARA AuthLegsl.pdf	Supplementary Document	Uploaded 2020-12-10	Available
AttA2 RCRA AuthLegsl.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
AttA1 CERCLA AuthLegsl.pdf	Supplementary Document	Uploaded 2020-12-10	Repair queued
1 - ACAS List of Attachments 20201130.docx	Supplementary Document	Uploaded 2020-12-10	Repair queued
1 - ACAS SSA 20201210.docx	Supporting Statement A	Uploaded 2020-12-10	Repair queued
1-SSB-20201130.docx	Supporting Statement B	Uploaded 2020-12-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244871	Agency Stakeholders - SMS Text Survey	Form and Instruction	New	SMS Text Survey
244871	Agency Stakeholders - SMS Text Survey	Form and Instruction	New
244870	Community Members - SMS Text Survey	Form and Instruction	New	SMS Text Survey
244870	Community Members - SMS Text Survey	Form and Instruction	New
224881	Agency Stakeholders - ACAS Telephone	Form and Instruction	Removed	ATSDR Community Activities Survey - Telephone
224881	Agency Stakeholders - ACAS Telephone	Form and Instruction	Removed
224880	Agency Stakeholders - ACAS Online	Form and Instruction	Modified	ATSDR Communication Activities Survey
224880	Agency Stakeholders - ACAS Online	Form and Instruction	Modified
224879	Agency Stakeholders - ACAS Hard Copy	Form and Instruction	Modified	ATSDR Communication Activities Survey
224879	Agency Stakeholders - ACAS Hard Copy	Form and Instruction	Modified
224878	Agency Stakeholders - ACAS Sign-In Sheet	Form	Modified	ATSDR Public Meeting Survey Sign-In Sheet
224878	Agency Stakeholders - ACAS Sign-In Sheet	Form	Modified
224874	Community Members - ACAS Telephone	Form and Instruction	Removed	ATSDR Community Activities Survey - Telephone
224874	Community Members - ACAS Telephone	Form and Instruction	Removed
224873	Community Members - ACAS Online	Form and Instruction	Modified	ATSDR Communication Activities Survey (ACAS)
224873	Community Members - ACAS Online	Form and Instruction	Modified
224872	Community Members - ACAS Hard Copy	Form and Instruction	Modified	ATSDR Communication Activities Survey (ACAS hardcopy)
224872	Community Members - ACAS Hard Copy	Form and Instruction	Modified
224871	Community Members - Sign-In Sheet	Form and Instruction	Modified	ATSDR Public Meeting Survey Sign-In Sheet
224871	Community Members - Sign-In Sheet	Form and Instruction	Modified

ICR Details

OMB Control No: 0923-0055	ICR Reference No: 202012-0923-001
Status: Historical Active	Previous ICR Reference No: 201612-0923-001
Agency/Subagency: HHS/TSDR	Agency Tracking No: 0923-16BEH
Title: ATSDR Communication Activities Survey (ACAS)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/22/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/14/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved
Responses	534	0	0
Time Burden (Hours)	58	0	0
Cost Burden (Dollars)	1,583	0	0

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Abstract: The ACAS will be used to ascertain the effectiveness, and to evaluate the differences and consistency, of ATSDR activity delivery and respondent perceptions across sites and over time; determine how effectively ATSDR's site team engages community members; and discover how well ATSDR provides effective, clear and consistent communication and information on how to promote healthy and safe environments and prevent harmful exposures through the activities they implement in communities. ATSDR will also pilot test a brief text-based survey method.

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Authorizing Statute(s): PL: Pub.L. 107 - 377 118 Name of Law: Superfund Amendments and Reauthorization Act (SARA)
   PL: Pub.L. 107 - 377 101 Name of Law: Comprehensive Environmental Response, Compensation and Liability Act (CERCLA)
   PL: Pub.L. 107 - 377 1001 Name of Law: Solid Waste Disposal Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 18977	04/03/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 80103	12/11/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Agency Stakeholders - ACAS Hard Copy	n/a	ATSDR Communication Activities Survey
Agency Stakeholders - ACAS Online	n/a	ATSDR Communication Activities Survey
Agency Stakeholders - ACAS Sign-In Sheet	n/a	ATSDR Public Meeting Survey Sign-In Sheet
Agency Stakeholders - ACAS Telephone	NA	ATSDR Community Activities Survey - Telephone
Agency Stakeholders - SMS Text Survey	n/a	SMS Text Survey
Community Members - ACAS Hard Copy	n/a	ATSDR Communication Activities Survey (ACAS hardcopy)
Community Members - ACAS Online	n/a	ATSDR Communication Activities Survey (ACAS)
Community Members - ACAS Telephone	NA	ATSDR Community Activities Survey - Telephone
Community Members - SMS Text Survey	n/a	SMS Text Survey
Community Members - Sign-In Sheet	n/a	ATSDR Public Meeting Survey Sign-In Sheet

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	534	0	0	526	0	8
Annual Time Burden (Hours)	58	0	0	55	0	3
Annual Cost Burden (Dollars)	1,583	0	0	1,583	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The ACAS includes 3 additional questions that address gaps identified during the first administration of the survey. One question is being removed from the ACAS because the question did not provide useful data. In addition, the telephone-base survey mode is being discontinued due to previous respondents' preference for the online mode of survey administration. Finally, ATSDR will pilot a brief SMS text survey.

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Annual Cost to Federal Government: $19,049

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/14/2020

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